Sanford V. Teplitzky

Sanford V. Teplitzky is a health care regulatory attorney, with a practice that has emphasis on fraud and abuse, and health care investigations.

Featured Experience

Handled dozens of OIG and CMS voluntary disclosures for both large and small clients on issues relating to the Anti-Kickback Statute, and Stark Law, as well as billing and other regulatory non-compliance.

Served as a CIA compliance expert for a large publicly-traded company pursuant to its Corporate Integrity Agreement addressing compliance with the CIA and more generally applicable laws.

Negotiated numerous settlement agreements under the Federal FCA on issues related to the Anti-Kickback Statute, Stark Law and other health care fraud allegations, including billing and reimbursement issues.

Professional Biography

Overview

Mr. Teplitzky represents large health care companies and delivery networks that rely on his experience and deep knowledge of the health care industry to identify and resolve fraud and abuse issues, and to represent them in federal and state investigations.

He advises medical professional and trade associations, negotiates with state and federal authorities, and provides counsel with respect to a broad range of regulatory and legislative issues facing health care clients.

Mr. Teplitzky's practice primarily focuses on fraud and abuse issues. He has extensive experience in the development and implementation of corporate compliance programs; internal reviews and investigations; due diligence reviews for acquiring and acquired entities; voluntary disclosures; and federal and state governmental investigations arising from False Claims Act whistleblower actions. He is recognized as one of the country's top attorneys on issues related to the federal Anti-Kickback Statute and the Stark Self-Referral Law.

His clients include hospitals (including for-profit, not-for-profit, chains and independent hospitals, as well as major academic medical centers), nursing homes, home health agencies, institutional and retail pharmacies, medical device manufacturers, and individual and large physician practices.

Noted by both clients and colleagues for his exceptional, consistent service, Mr. Teplitzky has been selected for BTI Consulting Group's Client Service All-Stars for Law Firms seven times. In 2013, he was named a "Client Service All-Star MVP."

Prior to entering private practice, Mr. Teplitzky served as an attorney for the Office of the General Counsel of the Department of Health, Education and Welfare, where he provided legal advice to the Health Care Financing Administration on fraud and abuse, reimbursement and other regulatory issues under the Medicare and Medicaid programs. Mr. Teplitzky had primary responsibility for developing policies and regulations to implement the Medicare and Medicaid Anti-Fraud and Abuse Amendments of 1977. Instrumental in working with members of Congress to create the OIG advisory opinion process, he is often credited with being the "father" of that process. As a representative of the American Health Law Association, Mr. Teplitzky worked with the OIG and other national organizations to develop guidelines for members of boards of directors with respect to health care compliance.

Mr. Teplitzky is a prominent member of numerous professional and civic associations. He has served on the board of directors of several Baltimore-area organizations, and served ten years on the Baltimore County Schools Board of Education. He is a former adjunct professor at the University of Maryland School of Law, where he taught a seminar on fraud and abuse for more than ten years.

Representative Matters

Handled dozens of OIG and CMS voluntary disclosures for both large and small clients on issues relating to the Anti-Kickback Statute, and Stark Law, as well as billing and other regulatory non-compliance.

Served as a CIA compliance expert for a large publicly-traded company pursuant to its Corporate Integrity Agreement addressing compliance with the CIA and more generally applicable laws.

Negotiated numerous settlement agreements under the Federal FCA on issues related to the Anti-Kickback Statute, Stark Law and other health care fraud allegations, including billing and reimbursement issues.

Negotiated dozens of corporate integrity agreements with the OIG.

Active in creating and implementing corporate compliance programs, in addition to developing a program for clients to conduct corporate compliance effectiveness reviews.

Counseled multiple clients relating to the application to propose transactions, including contractural relationships and joint ventures, and specifically, any implications under the Anti-Kickback Statute or Stark Law.

Led multiple due diligence efforts for clients acquiring and being acquired, with a specific focus on health care compliance and fraud and abuse issues.

Worked as the AHLA representative to the workforce with the OIG and other national organizations to develop guidelines for members of boards of directors with respect to health care compliance.

Instrumental in working with members of Congress to create the OIG advisory opinion process – credited with being the "Father of that process."

Professional Honors & Activities

Professional Memberships

Member – American Bar Association

Member – American Health Law Association

Founding Fellow (2005)

Chair, Fraud and Abuse Program (1992 – 2000)

Board of Directors (1986 – 1995)

President (1993 – 1994)

Mentoring Program

Public Interest Contributor

Member – Maryland State Bar Association

Community Service

Member – Baltimore Jewish Council (1982 – present)

Board of Directors

President (1992 – 1994)

Member – The Jewish Federations of North America

National Health and Long Term Care Work Group

Co-Chair (2012 – 2015)

Adjunct Professor – University of Maryland School of Law (2005 – 2014)

Board of Directors – Baltimore Reads (2009 – 2014)

Board of Directors – Homeless Persons Representation Project

Chair of the 2012 and 2013 Annual Campaigns to End Homelessness

Special appointment to the inquiry panel investigating the financial practices in the Baltimore City Public School System, 2004

Member – Baltimore County Board of Education (1993 – 2003)

Board of Directors – Center for Poverty Solutions (1998 – 2000)

Member – Action for the Homeless (1995 – 1998)

President (1989 – 1992)

Honoraries

Fellow – Maryland Bar Foundation

Listed since 1991 in The Best Lawyers in America® in Health Care Law Category

Sanford Teplitzky is held in high esteem by sources, one of whom labels him 'the best healthcare fraud lawyer in the country.' He frequently acts on matters involving Stark Law and Anti-Kickback Statute concerns. Clients commend his 'tremendous amount of knowledge' and 'practically tailored advice.'

The inimitable Sanford Teplitzky remains a leading figure in the healthcare sector, with sources regarding him as 'one of the very best-respected lawyers in this space.' He garners plaudits for his renowned expertise in reimbursement issues, notably fraud and abuse and matters concerning the Stark Law and Anti-Kickback Statute. As part of his strong regulatory practice, he also advises clients on government investigations arising from FCA whistleblower actions. Sources conclude: 'He really knows it all. He's been living, breathing and eating it for years.'

The 'phenomenal' Sanford Teplitzky remains one of the preeminent lawyers within the Maryland healthcare space, earning particular renowned for his top-tier expertise on the federal Anti-Kickback Statute and Stark Law.

Email Disclaimer

NOTICE: The mailing of this email is not intended to create, and receipt of it does not constitute an attorney-client relationship. Anything that you send to anyone at our Firm will not be confidential or privileged unless we have agreed to represent you. If you send this email, you confirm that you have read and understand this notice.